Autoantibodies directed to nuclear antigens are serological hallmarks of autoimmune rheumatic diseases such as systemic lupus erythematosus. Although much more is known about the molecular identity and functions of targeted self-antigens, with few exceptions, evidence that autoantibodies to these targets have a particular function and contribute directly to the pathological process is lacking. Here we show that human autoantibodies reacting with the zinc fingers of poly(ADP-ribose) polymerase involved in the recognition of damaged DNA totally prevent the cleavage of poly(ADP-ribose) polymerase by caspase-3, a process that normally occurs during early apoptosis. Furthermore, these antibodies, which are frequent in certain autoimmune rheumatic and bowel diseases, affect the characteristic features of apoptosis and increase cell survival ex vivo. This new observation is important, because failure to remove autoimmune or abnormal cells can give rise to prolonged autoimmune stimulation and tumor formation.Poly(ADP-ribose) polymerase (PARP 1 ; EC 2.4.2.30) is a 116-kDa nuclear enzyme that detects and binds DNA strand breaks produced by various genotoxic agents. DNA breaks activate PARP, which in turn catalyzes the synthesis of poly(ADPribose) from its substrate, the respiratory coenzyme NAD ϩ , at the site of breakage (1, 2). The ADP-ribose polymer is primarily attached to PARP itself (automodification) and to a few other acceptor proteins (heteromodification) involved in chromatin architecture and DNA metabolism, thus affecting their activity. The function of PARP is thought to be related to a number of nuclear processes that involve nicking and resealing of DNA strands, including transcription and DNA repair. PARP is probably associated with a multifunctional complex comprising factor x-ray cross-complementing-1, DNA polymerase , and DNA ligase III, which are involved in the base excision repair pathway. PARP knock-out mice display a marked genomic instability and an extreme sensitivity to genotoxic agents (3, 4), and it has been shown that PARP-deficient cell lines performed very limited DNA repair during the first hours after DNA damage by alkylating agents (5).PARP has a modular organization (1) comprising an N-terminal DNA binding domain, which acts as a molecular nick sensor and contains two zinc finger motifs called F1 and F2, which are involved in the recognition of DNA breaks during DNA repair (6) and a bipartite nuclear localization signal, a central regulating segment, which contains the automodification site, and the C-terminal catalytic domain, which binds NAD ϩ (Fig. 1). The presence of IgG antibodies reacting with the N-terminal F1 and F2 zinc fingers (7, 8) and, in a very few cases, with the PARP catalytic domain (9) has been described in the serum of patients with various systemic autoimmune diseases. In particular, a high prevalence of antibodies reacting with synthetic peptides corresponding to zinc fingers F1 and F2 (residues 18 -59 and 122-165, respectively) was observed in patients with certain...